Provider Demographics
NPI:1568031011
Name:KIM, SUNG WHEE (MD)
Entity type:Individual
Prefix:
First Name:SUNG
Middle Name:WHEE
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2246 SULLIVAN
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5029
Mailing Address - Country:US
Mailing Address - Phone:615-364-6836
Mailing Address - Fax:
Practice Address - Street 1:333 CORPORATE DR STE 260
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-2180
Practice Address - Country:US
Practice Address - Phone:949-768-2988
Practice Address - Fax:949-768-2980
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-20
Last Update Date:2025-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK380992084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry